达格列净治疗原发性IgA肾病的疗效及安全性研究

注册号:

Registration number:

ChiCTR2500103859 

最近更新日期:

Date of Last Refreshed on:

2025-06-06 10:26:33 

注册时间:

Date of Registration:

2025-06-06 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

达格列净治疗原发性IgA肾病的疗效及安全性研究

Public title:

Efficacy and safety of dapagliflozin in patients with primary IgA nephropathy

注册题目简写:

English Acronym:

研究课题的正式科学名称:

达格列净治疗原发性IgA肾病的疗效及安全性研究

Scientific title:

Efficacy and safety of dapagliflozin in patients with primary IgA nephropathy

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

熊晓燕 

研究负责人:

熊晓燕 

Applicant:

Xiong Xiaoyan 

Study leader:

Xiong Xiaoyan 

申请注册联系人电话:

Applicant telephone:

+86 131 2269 7682

研究负责人电话:

Study leader's
telephone:

+86 131 2269 7682

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

1573336293@qq.com

研究负责人电子邮件:

Study leader's E-mail:

1573336293@qq.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

上海市青浦区公园东路1158号

研究负责人通讯地址:

上海市青浦区公园东路1158号

Applicant address:

No.1158 Gongyuan East Road, Qingpu District, Shanghai

Study leader's address:

No.1158 Gongyuan East Road, Qingpu District, Shanghai

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

复旦大学附属中山医院青浦分院

Applicant's institution:

Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University

研究负责人所在单位:

复旦大学附属中山医院青浦分院

Affiliation of the Leader:

Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

青医2024-23

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

复旦大学附属中山医院青浦分院伦理委员会

Name of the ethic committee:

Ethics committee Of Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University

伦理委员会批准日期:

Date of approved by ethic committee:

2024-03-19 00:00:00

伦理委员会联系人:

常伟

Contact Name of the ethic committee:

Chang Wei

伦理委员会联系地址:

上海市青浦区公园东路1158号

Contact Address of the ethic committee:

No.1158 Gongyuan East Road, Qingpu District, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 181 1601 6162

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

复旦大学附属中山医院青浦分院

Primary sponsor:

Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University

研究实施负责(组长)单位地址:

上海市青浦区公园东路1158号

Primary sponsor's address:

No.1158 Gongyuan East Road, Qingpu District, Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海市

市(区县):

青浦区

Country:

China

Province:

Shanghai

City:

Qingpu

单位(医院):

复旦大学附属中山医院青浦分院

具体地址:

上海市青浦区公园东路1158号

Institution
hospital:

Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University

Address:

No.1158 Gongyuan East Road, Qingpu District, Shanghai

经费或物资来源:

复旦大学附属中山医院青浦分院

Source(s) of funding:

Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University

研究疾病:

IgA肾病  

Target disease:

Immunoglobulin A nephropathy

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

上市后药物 

Study phase:

4

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

(1)评估达格列净对原发性IgA肾病患者尿蛋白、肾功能、血压的影响; (2)观察达格列净对原发性IgA肾病患者血浆白蛋白、血脂、血尿酸、电解质、血红蛋白等生化指标及免疫球蛋白IgA、IgG、IgA/C3比值等的影响; (3)探究达格列净对原发性IgA肾病患者肾功能恶化、发生终末期肾病、心血管或肾病死亡、全因死亡风险的影响,评估达格列净治疗原发性IgA肾病患者的安全性。  

Objectives of Study:

1.Evaluate the effects of dapagliflozin on urinary protein, renal function and blood pressure in patients with primary IgA nephropathy; 2.Observe the effects of dapagliflozin on plasma albumin, blood lipid, uric acid, electrolyte, hemoglobin and immunoglobulin IgA, IgG, IgA/C3 ratio in patients with primary IgA nephropathy 3.Explore the effects of dapagliflozin on renal deterioration, end-stage renal disease, cardiovascular or renal death, and all-cause death in patients with primary IgA nephropathy, and to evaluate the safety of dapagliflozin in the treatment of patients with primary IgA nephropathy.

药物成份或治疗方案详述:

治疗组予达格列净10 mg/d,对照组给予同等剂量安慰剂。其它治疗相同,两组患者均进行个体化支持治疗,尽量保持两组患者之间辅助用药差别不大,并根据患者具体情况进行相应调整,保持血压、血糖、血脂等的相对稳定。 

Description for medicine or protocol of treatment in detail:

The treatment group was given dapagliflozin 10 mg/d, and the control group was given the same dose of placebo. Other treatments were the same, and both groups of patients received individualized supportive treatment. The difference in auxiliary medication between the two groups was kept as small as possible, and the blood pressure, blood sugar, and lipid levels were kept relatively stable according to the specific conditions of the patients. 

纳入标准:

Inclusion criteria

排除标准:

1.有明确的继发因素导致的IgA肾病; 2.入组前6个月内接受糖皮质激素或免疫抑制剂治疗者; 3. eGFR<15ml/min/1.73m^2 或肾脏替代治疗者; 4.入组前已经接受SGLT2i药物治疗者,或对达格列净或其他SGLT2i过敏者; 5.急性肾损伤、恶性肿瘤、严重呼吸道疾病、酒精成瘾者; 6.有低血糖或酮症酸中毒史者; 7.孕妇或哺乳期患者; 8.依从性差、不能配合的患者。

Exclusion criteria:

1.There is a clear secondary cause of IgA nephropathy; 2.Receiving glucocorticoid or immunosuppressant therapy within 6 months prior to enrollment; 3. eGFR<15ml/min/1.73m^2 or renal replacement therapy ; 4.SGLT2i treatment before the research, or allergic to SGLT2i; 5.AKI, malignant tumor, severe respiratory disease, alcohol addict; 6.History of hypoglycemia or ketoacidosis; 7.Pregnant or nursing patients; 8.Patients with poor compliance and inability to cooperate.

研究实施时间:

Study execute time:

From 2024-01-01 00:00:00 To 2025-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-01-01 00:00:00 To 2025-06-30 00:00:00

干预措施:

Interventions:

组别:

治疗组

样本量:

60

Group:

Treatment Group

Sample size:

干预措施:

达格列净,10 mg/d 口服

干预措施代码:

Intervention:

Dapagliflozin, 10 mg/day orally

Intervention code:

组别:

对照组

样本量:

60

Group:

Control Group

Sample size:

干预措施:

同等剂量安慰剂,10 mg/d 口服

干预措施代码:

Intervention:

Placebo at the same dose, 10 mg/day orally

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海市 

市(区县):

青浦区 

Country:

China

Province:

Shanghai

City:

Qingpu

单位(医院):

复旦大学附属中山医院青浦分院 

单位级别:

三级 

Institution
hospital:

Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

尿蛋白

指标类型:

主要指标

Outcome:

Urine protein

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肾功能

指标类型:

主要指标

Outcome:

Renal function

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血糖

指标类型:

次要指标

Outcome:

Blood glucose

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血脂

指标类型:

次要指标

Outcome:

Blood lipid

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血电解质

指标类型:

次要指标

Outcome:

Blood electrolyte

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血免疫球蛋白

指标类型:

次要指标

Outcome:

Immunoglobulin

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

尿液

组织:

Sample Name:

urine

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

血液

组织:

Sample Name:

blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

随机数字表法

Randomization Procedure (please state who generates the random number sequence and by what method):

Random number table method

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

受试者及研究者双盲

Blinding:

Double-blinded of and patients investigator

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

2026.7.1/电子数据采集/ResMan (www.medresman.org)

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

2026.7.1/Electronic Data Capture/ResMan (www.medresman.org)

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

临床研究公共管理平台

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Research Manager ResMan

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2025-06-06 10:25:46